Roy Lee Mitchell, PSYD
NPI 1942752068ActiveIndividual· Psychologist, Clinical· Riverview, FL
Psychologist, Clinical (PSYD) in Riverview, Florida, licensed in FL, with an NPI issued in October 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1942752068 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Jan 11, 2024 |
| Certified by provider | Jan 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY12113 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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